Optimizing treatment and outcomes in acute heart failure

beyond initial triage.

Marc A. Silver, W. Franklin Peacock, Deborah B. Diercks

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Heart failure contributes substantially to health care costs in the United States due to its prevalence and frequent necessity for repeat hospitalizations to manage episodes of acute decompensation. Heart failure overwhelmingly impacts Medicare costs, as the highest proportion of heart failure patients are older than 65 years of age. Efforts to reduce morbidity, mortality, and health care resource utilization have been achieved successfully through emergency department-based heart failure observation units. For select patients, the observation unit can provide care with effective oral agents, including angiotensin-converting enzyme inhibitors, beta-adrenergic receptor blockers, and diuretics, as well as administration of other vasoactive agents, followed by a discharge plan of effective heart failure education and rigorous follow-up management. As advanced pharmacologic and diagnostic therapies continue to emerge, the observation unit staff can play an integral role in the critical education and self-management tools that are needed by the patient to ultimately improve outcomes and quality of life.

Original languageEnglish (US)
Pages (from-to)137-145
Number of pages9
JournalCongestive heart failure (Greenwich, Conn.)
Volume12
Issue number3
DOIs
StatePublished - May 2006
Externally publishedYes

Fingerprint

Triage
Heart Failure
Observation
Patient Acceptance of Health Care
Education
Adrenergic beta-Antagonists
Health Resources
Receptors, Adrenergic, beta
Self Care
Medicare
Angiotensin-Converting Enzyme Inhibitors
Diuretics
Health Care Costs
Hospital Emergency Service
Hospitalization
Quality of Life
Morbidity
Costs and Cost Analysis
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Optimizing treatment and outcomes in acute heart failure : beyond initial triage. / Silver, Marc A.; Peacock, W. Franklin; Diercks, Deborah B.

In: Congestive heart failure (Greenwich, Conn.), Vol. 12, No. 3, 05.2006, p. 137-145.

Research output: Contribution to journalArticle

Silver, Marc A. ; Peacock, W. Franklin ; Diercks, Deborah B. / Optimizing treatment and outcomes in acute heart failure : beyond initial triage. In: Congestive heart failure (Greenwich, Conn.). 2006 ; Vol. 12, No. 3. pp. 137-145.
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